Organization
COUNTY OF RIVERSIDE
Active
Parent organization
COUNTY OF RIVERSIDE
Other names
RUHS-Behavior Health Inpatient Pharmacy, Riverside Mental Health Pharmacy - Inpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF RIVERSIDE
Authorized official
DAVALYN TIDWELL (PHARMACY DIRECTOR)
(951) 486-4523
Entity
Organization
Contact information
Practice address
9990 COUNTY FARM RD, SUITE 2, RIVERSIDE, CA 92503-3542
(951) 486-4531
(951) 358-4626
Mailing address
9990 COUNTY FARM RD STE 2, RIVERSIDE, CA 92503-3542
(951) 358-4790
(951) 358-4626
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HPE 35875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050292
MEDICARE PART A & B
CA
Enumeration date
01/30/2009
Last updated
05/05/2026
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